Individual provider Active NPI

Claudia A. Mahon-Vazquez, DDS

  • General Practice Dentistry
  • Hauppauge, NY
National Provider Identifier
1942399894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042364-1 Issued in NY
Practice address
801 Motor Pkwy
Hauppauge, NY 11788-5256
Phone
(631) 348-1501
Fax
(631) 851-9334
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042364-1 NY Primary

Addresses

Primary practice location

801 Motor Pkwy
Hauppauge, NY 11788-5256

Mailing address

801 Motor Pkwy
Hauppauge, NY 11788-5256
Phone (631) 348-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 8, 2015 through Sep 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
042364-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Felline, DMD PastSince Jul 20, 2021 Accepting new patients
Adam Felline, DMD PLLC PastSince Dec 21, 2021 Accepting new patients
Children'S Dentistry of Hauppauge, LLP Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942399894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501",
            "fax_number": "631-851-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501",
            "fax_number": "631-851-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON-VAZQUEZ",
        "first_name": "CLAUDIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042364-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.